NPI | 1518149467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 74296) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C164561) |
207R00000X Internal Medicine (Licence: SC 32872) | |
208M00000X Hospitalist (Licence: CA 164561) | |
208M00000X Hospitalist (Licence: OK 40933) | |
Enumeration Date | 2007-12-03 |
Last Update Date | 2023-09-11 |